Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $16.09 / $32.63 / $155.01	Facility		$16.09	$32.63	$155.01
Aetna Facility/Professional Professional Modifier Low / Median / High Price $5.13 / $21.31 / $32.00	Professional		$5.13	$21.31	$32.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $20.96 / $20.96 / $26.20	Professional		$20.96	$20.96	$26.20
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $7.81 / $21.31 / $39.83	Professional		$7.81	$21.31	$39.83
Medica Facility/Professional Facility Modifier Low / Median / High Price $4.00 / $21.48 / $31.69	Facility		$4.00	$21.48	$31.69
Medica Facility/Professional Professional Modifier Low / Median / High Price $8.48 / $21.20 / $27.22	Professional		$8.48	$21.20	$27.22
Midlands Facility/Professional Facility Modifier Low / Median / High Price $4.00 / $24.70 / $27.22	Facility		$4.00	$24.70	$27.22
Midlands Facility/Professional Professional Modifier Low / Median / High Price $5.14 / $23.69 / $32.15	Professional		$5.14	$23.69	$32.15
United Facility/Professional Professional Modifier Low / Median / High Price $21.31 / $21.31 / $21.95	Professional		$21.31	$21.31	$21.95
Wellmark Facility/Professional Facility Modifier Low / Median / High Price $21.20 / $21.20 / $21.20	Facility		$21.20	$21.20	$21.20
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $21.20 / $21.20 / $21.20	Professional		$21.20	$21.20	$21.20